SHARON BLAZE GALLOWAY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041169217

License Status

NOT RENEWED

Business

First Name

SHARON BLAZE

Last Name

GALLOWAY

Business Name

SHARON BLAZE GALLOWAY

Original Issue Date

11/01/1976

Effective Date

11/01/1976

Expiration Date

05/31/2004

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006